急性心肌梗死早期二周康复的临床观察  

Clinic observation of 2-week-rebabilitation-program in patients with acute myocardial infarction

作　　者：陈春怡[1] 梁国才[1] 朱必顺[1] 俞群[1] 郭蔚[1] 陈慧珠 

机构地区：[1]上海市第八人民医院心内科,上海市200233

出　　处：《心血管康复医学杂志》2000年第3期11-13,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :观察急性心肌梗死 (AMI)患者早期康复活动对病情的影响。方法 :对无并发症的急性心肌梗死病人在住院 2 4小时后 ,有并发症的 AMI病人在病情稳定后进行二周早期康复治疗。康复活动以步行为主。结果 :程序结束时左室射血分数 (L VEF) >50 %者康复组 2 6例 (67% ) ,对照组 14例 (3 7% ) ,两组差异显著 (P<0 .0 5) ;康复组心室晚电位阳性、lown 级以上室性心律失常、坠积性肺炎的发生率和平均住院天数均低于对照组 ,差异显著(P<0 .0 5) ;康复组出院时达到生活自理 3 8例 (97% ) ,对照组 12例 (3 1% ) ,差异显著 (P<0 .0 5)。结论 :对无并发症及有并发症但已控制的 AMI患者 ,进行早期康复治疗是安全、有效的。Objective:This issue was to observe the effect of early exercise rehabilitation of patients with AMI in hospital.Methods:To carry out early exercise rehabilitation for two weeks in AMI patients in hospital after 24 hours who were free from complications orAMI patients who had complications were under stable state and complications were controlled.Exercise rehabilitation relies mainly on walk.Results:In end,there were 26 cases(67%) whose LVEF (left ventricular ejection fraction exceeded 50% in exercise rehabilitation' group,and 14 cases(37%)in control group( P <0 05).In exercise rehabilitation's group, the occurrences of positive VLP (ventricular later potential)、ventricular arrhythmia upward Lown Ⅱ,hypostatic pneumonia; and average days of hospitalization were lower than in control group( P <0 05).When left hospital,there were 38 cases(97%)that could take care of themselves in exercise rehabilitation's group, and 12 cases (31%)in control group( P <0 05).Conclusion:It was effective to carry out early exercise rehabilitation in AMI patients who were free from complications or complications were controlled. Author′s address Department of Cardiology,Shanghai No.8 People's Hospital,Shanghai,200233

关 键 词：急性心肌梗死 二周康复程序 AMI 安全性 

分 类 号：R542.220.9[医药卫生—心血管疾病]